Long-term effectiveness of right septal pacing vs. right apical pacing in patients with atrioventricular block
スポンサーリンク
概要
- 論文の詳細を見る
Background: Long-term right ventricular apical (RVA) pacing increases the risk of heart failure (HF) by inducing ventricular dyssynchronization. Although recent studies suggest that right ventricular septal (RVS) pacing results in improved short-term outcomes, its long-term effectiveness remains unclear.Methods and results: This study investigated 149 consecutive patients who underwent implantation of a dual chamber pacemaker for atrioventricular block with either RVS-pacing between July 2007 and June 2010 or RVA-pacing between January 2003 and June 2007. The endpoint was defined as death and hospitalization due to heart failure (HF). The rates of mortality and hospitalization due to HF were significantly lower in the RVS-pacing group than that in the RVA-pacing group (event free RVS: 1 year, 98% and 2 years, 98%; RVA: 1 year, 85% and 2 years, 81%; p<0.05). None of the patients died from HF in the RVS-pacing group, while 4 patients died from HF in the RVA-pacing group within 2 years after pacemaker implantation. The paced QRS interval was significantly shorter with RVS pacing than with RVA pacing at different times after pacemaker implantation (RVS: immediately 157.8±24.0 ms, after 3 months 157.3±17.5 ms, after 6 months 153.6±21.7 ms, after 12 months 153.6±19.4 ms, after 24 months 149.3±24.0 ms vs. RVA: immediately 168.3±23.7 ms, after 3 months 168.7±26.0 ms, after 6 months 168.0±22.8 ms, after 12 months 171.2±22.3 ms, after 24 months 176.1±25.5 ms; p<0.05).Conclusions: RVS pacing is feasible and safe with more favorable clinical benefits than RVA pacing.
著者
-
Kikuchi Miwa
Division Of Cardiology Department Of Medicine Showa University
-
Ito Hiroyuki
Division Of Applied Bioscience Graduate School Of Agriculture Hokkaido University
-
Kobayashi Youichi
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
-
Miyoshi Fumito
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
-
Kawamura Mitsuharu
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
-
Tanno Kaoru
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
-
Asano Taku
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
-
Asano Taku
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
-
Miyoshi Fumito
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
-
TANNO Kaoru
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
-
Adachi Taro
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
-
Adachi Taro
Division of Cardiology Department of Medicine, Showa University
-
Onuma Yoshimasa
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
-
Munetsugu Yumi
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
関連論文
- Increased Plasma Urotensin-II and Carotid Atherosclerosis are Associated with Vascular Dementia
- PJ-690 Poor Prognosis for Patients with ICD and Impaired Renal Function(PJ116,Ventricular Arrhythmia (Clinical/Pathophysiology) (A),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-554 Usefulness of Programmed Electrical Stimulation and Effectiveness of Catheter Ablation in Patients with ICD(PJ093,Ventricular Arrhythmia (Clinical/Diagnosis/Treatment) 2 (A),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japane
- PJ-279 Effect of Patients with Atrioventricular Block Undergoing Right Septal Ventricular Lead Implantation Compared with Right Apical Pacing(PJ047,Arrhythmia, Others (Clinical/Pathophysiology) 3 (A),Poster Session (Japanese),The 73rd Annual Scientific Me
- OJ-118 Atrial Fibrillation in Blanking Period is Predictive Factor for Long Term Recurrence after Pulmonary Vein Isolation(OJ20,Arrhythmia, Others (Clinical/Diagnosis/Treatment) 2 (A),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The
- OE-221 A Combination of Sympathetic Nervous System Abnormality and Left Ventricular Dysfunction for Predicting Recurrent Ventricular Tachyarrhythmic Events(OE38,Nuclear Cardiology (Others) (I),Oral Presentation (English),The 73rd Annual Scientific Meeting
- OJ-203 Systemic and Virtual Histological Determinant Factors of Coronary Distensibility(OJ34,Atherosclerosis (Clinical/Pathophysiology) (IHD),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-338 Relationship between coronary artery distensibility and plaque composition determined by Virtual Histology-IVUS(Intravascular endoscopy/Intravascular ultrasound(06)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circ
- PJ-005 Longitudinal Inhomogeneity of Coronary Distensibility in Acute Coronary Syndrome Related Plaques(Acute coronary syndrome, basic/clinical-6, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Cell Age Distribution of Erythrocytes at the Incidence of Cerebral Stroke in Stroke-Prone Spontaneously Hypertensive Rats, and Their Glutathione Peroxidase Activity
- Site-directed mutagenesis of possible catalytic residues of cellobiose 2-epimerase from Ruminococcus albus
- Cloning and Heterologous Expression of a β-Fructofuranosidase Gene from Arthrobacter globiformis IFO 3062, and Site-Directed Mutagenesis of the Essential Aspartic Acid and Glutamic Acid of the Active Site (ENZYMOLOGY, PROTEIN ENGINEERING, AND ENZYME TECHN
- Cloning and Heterologous Expression of a Glucodextranase Gene from Arthrobacter globiformis I42, and Experimental Evidence for the Catalytic Diad of the Recombinant Enzyme(ENZYMOLOGY, PROTEIN ENGINEERING, AND ENZYME TECHNOLOGY)
- Cloning of a Gene Cluster Responsible for the Biosynthesis of Diterpene Aphidicolin, a Specific Inhibitor of DNA Polymerase α
- A Wound-Inducible Tobacco Peroxidase Gene Expresses Preferentially in the Vascular System
- 1-Aminocyclopropane-1-carboxylate Synthase of Penicillium citrinum : Primary Structure and Expression in Escherichia coli and Saccharomyces cerevisiae(Biochemistry & Molecular Biology)
- Major Isoforms of Starch Branching Enzymes in Premature Seeds of Kidney Bean (Phaseolus vulgaris L.)
- A Large Family of Class III Plant Peroxidases
- A UNIQUE TOBACCO PEROXIDASE GENE TPOXN1 IS EXPRESSED IN VASCULAR AND EPIDERMAL SYSTEMS FOR A LONG TIME
- 1-Aminocyclopropane-1-carboxylate (ACC) Deaminase Induced by ACC Synthesized and Accumulated in Penicillium citrinum Intracellular Spaces
- Wound-Induced Expression of a Tobacco Peroxidase Is Not Enhanced by Ethephon and Suppressed by Methyl Jasmonate and Coronatine
- Expression profile of a wound-induced tobacco peroxidase gene
- Purification and Properties of Extracellular Carboxyl Proteases of Acid-tolerant Bacteria, Isolated from Compost
- Molecular Cloning of Isomaltotrio-dextranase Gene from Brevibacterium fuscum var. dextranlyticum strain 0407 and Its Expression in Escherichia coli
- Properties, Sequence, and Synthesis in Escherichia coli of 1-Aminocyclopropane-1-Carboxylate Deaminase from Hansenula saturnus
- Diterpene Cyclases Responsible for the Biosynthesis of Phytoalexins, Momilactones A, B, and Oryzalexins A-F in Rice
- Cloning and Sequencing of a cDNA Encoding α-Glucosidase from Sugar Beet
- Substitutions of Alanine for Cysteine at a Reactive Thiol Site and for Lysine at a Pyridoxal Phosphate Binding Site of 1-Aminocyclopropane-1-carboxylate Deaminase
- ANALYSIS OF WOUND RESPONSE MEDIATED BY 5' -FLANKING REGION OF RICE PEROXIDASE GENE
- Molecular Cloning and Nucleotide Sequences of cDNA and Gene Encoding endo-Inulinase from Penicillium purpurogenum
- Chemical Modification and Amino Acid Sequence of Active Site in Sugar Beet α-Glucosidase
- Obstructive Sleep Apnea and Cardiovascular Disease
- Differential Chain-Length Specificities of Two Isoamylase-Type Starch-Debranching Enzymes from Developing Seeds of Kidney Bean
- Expression profiles of genes for two novel tobacco peroxidases induced by mechanical wounding and during local lesion formation following TMV infection
- The N-terminal region of the starch-branching enzyme from Phaseolus vulgaris L. is essential for optimal catalysis and structural stability
- Effect of Cigarette Smoking on the Risk of Atrial Fibrillation Recurrence after Pulmonary Vein Isolation
- Characterization of Starch Synthase I and II Expressed in Early Developing Seeds of Kidney Bean (Phaseolus vulgaris L.)
- EFFECTS OF DIGOXIN AND β-BLOCKING AGENT ON THE HEART RATE IN PATIENTS WITH ATRIAL FIBRILLATION : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Exercise Test
- Differential Chain-Length Specificities of Two Isoamylase-Type Starch-Debranching Enzymes from Developing Seeds of Kidney Bean
- Management of Patients Receiving Warfarin during Invasive Procedures and the Adverse Effects of Warfarin
- Long-Term Survival After a Surgical Resection of Pulmonary Metastases from Gastric Cancer : Report of a Case
- Comparison of Enzymatic Properties and Gene Expression Profiles of Two Tuberonic Acid Glucoside β-Glucosidases from Oryza sativa L.
- Implantable Loop Recorder for a Patient with Unexplained Syncope
- Anxiety Disorder Is Associated With Nocturnal and Early Morning Hypertension With or Without Morning Surge : Ambulatory Blood Pressure Monitoring
- Bail-Out of Drug-Refractory VF Electrical Storm in a Patient Who Underwent Percutaneous Coronary Intervention for Three Vessel Disease
- Successful Ablation of Persistent Atrial Fibrillation Starting from Firing of Superior Vena Cava after Ablation of Complex Fractionated Atrial Electrograms
- Chemotherapy-Induced Arrhythmia Which Was Wide QRS Tachycardia Derived from Supra Vena Cava, Atrial Flutter, and Atrial Fibrillation with Syncope
- Increase in Tpeak–Tend interval induced by cardiac resynchronization therapy is a predictor of ventricular tachyarrhythmia
- Long-term effectiveness of right septal pacing vs. right apical pacing in patients with atrioventricular block
- Single-Dose Intravenous Administration of Recombinant Human Erythropoietin Is a Promising Treatment for Patients With Acute Myocardial Infarction : Randomized Controlled Pilot Trial of EPO/AMI-1 Study
- The Long-Term Effectiveness of Right Ventricular Pacing at Different Sites Using Rotation, Torsion and Tei Index
- Effects of Obstructive Sleep Apnea on Cardiac Sympathetic Drive during Sleep in Patients after Myocardial Infarction
- Left Atrial Volume Is the Strongest Predictor of Paroxysmal Atrial Fibrillation in Patients with Hypertension
- Clinical Characteristics and Predicting Factors of Electrical Storm in Patients with Ischemic Heart Disease and Left Ventricular Dysfunction
- Geometric Structure and Formation Condition of Corded Isolated-Mixing Region in Impeller Agitated Vessel
- Guidelines for Clinical Cardiac Electrophysiologic Studies (JCS 2011) : Digest Version
- Ordinary Autonomic Unbalance Can Reflect Diagnosis of Neurally Mediated Reflex Syncope